| NPI | 1033526231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176690) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 18891) |
| Enumeration Date | 2014-07-20 |
| Last Update Date | 2022-12-17 |